Reasons to avoid the early discharge of a normal term infant include all of the following EXCEPT

Correct Answer: D

Rationale: In pediatric nursing, the early discharge of a normal term infant is a critical decision that requires careful consideration to ensure the health and well-being of the newborn. The correct answer, D) Two successful feedings, is the exception among the listed options. This is because successful feedings alone do not guarantee the overall health and stability of the infant. Option A) Jaundice evident on day - Jaundice in a newborn requires monitoring and, in some cases, treatment to prevent complications. Discharging a jaundiced infant early may lead to inadequate follow-up and management. Option B) Positive VDRL - A positive VDRL test indicates the presence of syphilis, a serious infection that can have detrimental effects on the infant's health. Early discharge without proper treatment and monitoring can lead to severe consequences. Option C) Bleeding after circumcision - Bleeding after circumcision is a potential complication that requires close observation and intervention. Discharging the infant before ensuring the bleeding is under control can result in further complications. Educationally, understanding the reasons to avoid early discharge of newborns is crucial for nursing students and healthcare providers. It emphasizes the importance of comprehensive assessment, monitoring, and follow-up care to promote the health and safety of newborns. This knowledge helps in making informed decisions and providing quality care to infants and their families.

Correct Answer: A

Rationale: In pediatric nursing, recognizing early symptoms of mental disorders is crucial for providing timely and effective interventions. The correct answer is option A) Mental Health Action Signs. This option is correct because it highlights the proactive approach needed to identify signs indicating the presence of mental health issues in children. By using the term "Action Signs," it emphasizes the need for immediate attention and intervention when these signs are observed. Option B) Mental Health Tools is incorrect because it is too broad and does not specifically address the aspect of early symptom recognition. While tools may be used in the assessment and diagnosis of mental disorders, the focus of the question is on the early identification of symptoms. Option C) Mental Health Indicators is incorrect because it does not convey the sense of urgency and action needed in recognizing early symptoms. Indicators may suggest the presence of a mental health issue, but they do not necessarily prompt immediate action. Option D) Mental Health Screening Tests is incorrect as well because screening tests are more formal assessments conducted after initial signs or symptoms have been identified. They are not the first step in recognizing early symptoms of mental disorders in pediatric patients. In an educational context, understanding the terminology and approach to identifying early symptoms of mental disorders in children is essential for pediatric nurses. By recognizing actionable signs early on, healthcare providers can intervene promptly to provide the necessary support and care for children experiencing mental health challenges. This question highlights the importance of vigilance and knowledge in pediatric mental health assessment, emphasizing the need for proactive observation and response in clinical practice.

Correct Answer: D

Rationale: In pediatric nursing, understanding the factors that can contribute to anxiety in children is crucial for providing holistic care. In this question, the correct answer is D) Carbonated beverages. Carbonated beverages do not cause anxiety in children directly. However, options A, B, and C can all potentially cause anxiety in children. A) Antihistamines: Some antihistamines can have side effects that include drowsiness or hyperactivity, which may lead to anxiety in children. B) Hypoparathyroidism: This condition can result in low levels of calcium in the blood, leading to symptoms like muscle cramps, tingling sensations, and even seizures, which can be frightening for a child and cause anxiety. C) Prolonged school absences: Missing school for an extended period can cause a child to feel disconnected from their peers, fall behind in academics, and experience anxiety about returning to a changed environment. Educationally, this question highlights the importance of considering a wide range of factors that can impact a child's emotional well-being in pediatric nursing practice. It emphasizes the need for nurses to be aware of how various medical conditions, medications, and social factors can influence a child's mental health, helping them provide comprehensive care that addresses both physical and emotional needs.

Correct Answer: D

Rationale: In pediatric nursing, understanding the relationship between psychiatric illness and suicide risk is crucial. The correct answer is D) 90%. This means that the majority of youths who complete suicide have a preexisting psychiatric illness. This statistic highlights the importance of mental health screening and intervention in pediatric care. Option A) 10% is incorrect because studies consistently show a much higher prevalence of psychiatric illness among youths who die by suicide. Option B) 30% and Option C) 50% are also lower than the actual statistic, emphasizing the misconception that suicide is mainly an impulsive act rather than often being associated with underlying mental health conditions. In an educational context, this question serves to emphasize the need for healthcare providers to be vigilant in assessing and addressing mental health concerns in pediatric patients. It underscores the interconnectedness of mental health and overall well-being, urging healthcare professionals to approach pediatric care holistically. Understanding this high correlation can help nurses and other healthcare providers in early identification, intervention, and prevention of suicide in pediatric populations.

Correct Answer: D

Rationale: In pediatric nursing, it is crucial to understand childhood psychosis to provide appropriate care. The correct answer is "D) Acutephobic hallucination" because hallucinations associated with fear or anxiety (acutephobic hallucinations) are not typically seen in childhood psychosis. Option A, delusions, refers to fixed false beliefs, which are common in psychosis. Loss of reality testing (Option B) is a hallmark feature of psychosis where individuals struggle to differentiate between what is real and what is not. Disorganized speech (Option C) is also a common symptom in psychosis, characterized by incoherent or illogical speech patterns. Educationally, knowing the distinguishing features of childhood psychosis is essential for pediatric nurses to recognize early signs, provide timely interventions, and collaborate effectively with the healthcare team to support the child and their family. Understanding these nuances helps in delivering holistic care and improving outcomes for pediatric patients with mental health challenges.